Jason Kearns
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sorrento, LA
NPI 1497586333 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1497586333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CIT-5852 (LA)
- Practice address
- 7384 John Leblanc Blvd
Sorrento, LA 70778-3231 - Phone
- (225) 300-4850
- NPI assigned
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CIT-5852 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT-5852 | LA | Yes |
Addresses
Primary practice location
7384 John Leblanc Blvd
Sorrento, LA 70778-3231
Mailing address
7384 John Leblanc Blvd
Sorrento, LA 70778-3231
Phone (225) 300-4850
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All providers in Sorrento, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.